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The Digestive (Gastrointestinal) System and Its Disorders
Published in Walter F. Stanaszek, Mary J. Stanaszek, Robert J. Holt, Steven Strauss, Understanding Medical Terms, 2020
Walter F. Stanaszek, Mary J. Stanaszek, Robert J. Holt, Steven Strauss
Surgical intervention most commonly would involve colectomy and ileostomy for inflammatory bowel disease, vagotomy or antrectomy for peptic ulcer disease, cholecystectomy for inflammation of the gallbladder, appendectomy for inflammation of the appendix, and repair of inguinal hernias by herniorrhaphy. Paracentesis or abdominocentesis (centesis = puncture) is a procedure done to remove fluid from the abdomen or peritoneal cavity.
How to revise a posterior lumbar fusion that has developed adjacent-level stenosis with or without instability
Published in Gregory D. Schroeder, Ali A. Baaj, Alexander R. Vaccaro, Revision Spine Surgery, 2019
The number of lumbar spine fusions performed each year is rapidly increasing. Many of these patients experience excellent pain relief and recovery of function. However a significant number experience recurrent symptoms secondary to adjacent segment stenosis. Treating these patients will be a significant burden for the healthcare system as a whole, as well as for individual surgeons. Revision surgery can be successful but requires meticulous attention to detail in order to obtain a good outcome. The chances of a successful outcome decrease with each surgical intervention. Each revision procedure should be carefully planned to address new pathology, as well as any iatrogenic issue present from prior surgery.
plastic Surgery
Published in Stephan Strobel, Lewis Spitz, Stephen D. Marks, Great Ormond Street Handbook of Paediatrics, 2019
Kangesu Loshan, Jonathan A. Britto, Neil Bulstrode, David Dunaway, Paul Morris, Branavan Sivakumar, Gill Smith, Guy Thorburn
The prognosis is excellent when treated in multi-disciplinary units dedicated to the treatment of this condition. Patient reported outcome measures have shown good satisfaction with surgical intervention.
Differences in the Surgical Outcomes of Glaucoma Surgery in Patients of African Caribbean Descent
Published in Current Eye Research, 2022
A. M. Nagar, P. Maghsoudlou, R. Wormald, K. Barton, P. Hysi, K. S. Lim
Antimetabolite treatment has increased the efficacy of trabeculectomy by decreasing fibrosis in ACD and ED (Table 4).41–47 The use of antimetabolites, as well as releasable sutures have been shown to enhance long-term bleb survival.48,49 Several smaller studies have shown that antimetabolite adjuncts have improved outcomes in ACD but may be associated with a higher rate of complications.50 Mitomycin C (MMC) may be more efficacious than 5-fluorouracil (5-FU) as an antimetabolite adjunct for trabeculectomy surgery in this population,41,51–53 similarly to what has been established in a Cochrane systematic review for ED.54,55 Kim et al. completed a retrospective review of 68 eyes of 68 ACD patients who received MMC (n = 30) or 5-FU (n = 38) as adjuncts with trabeculectomy.52 55.2% of eyes achieved an IOP of less than 21 without medical therapy in the MMC group compared to 24.3% in the 5-FU group. The data highlight a greater probability of surgical success than surgical intervention alone. However, the overall failure rate of surgery, regardless of antimetabolite, remains higher in ACD. A small cohort study of 89 eyes (20% ACD) using 5-FU as an adjunct showed a higher rate of failure at 1 year for ACD compared to ED (23.8% vs. 12.5% failure; p = .03).18
Prolonged postoperative antibiotic administration reduces complications after medial thigh lift
Published in Journal of Plastic Surgery and Hand Surgery, 2022
J. Weber, Z. Kalash, F. Simunovic, B. Bonaventura
Complications were collected from the electronic patient records, as well as from the outpatient records. The complications were divided into major and minor. Minor complications are those that did not require surgical treatment or hospitalization, including wound-healing disorders and minor dehiscence, superficial infections that could be treated with oral antibiotic therapy, as well as seromas and hematomas that did not require surgery (puncture and percutaneous drainage were considered non-surgical). Complications that required hospitalization or surgical intervention were considered major complications. These include abscesses and hematomas requiring revisionary surgery, infections that required intravenous antibiotic therapy and wound-healing disorders or dehiscence that required secondary wound closure.
Effectiveness of surgical and non-surgical interventions for managing diabetic shoulder pain: a systematic review
Published in Disability and Rehabilitation, 2022
Sanaa A. Alsubheen, Joy C. MacDermid, Kenneth J. Faber
Alternatively, surgical intervention may be indicated to reduce pain and improve motion [16]. Common surgical techniques include arthroscopic capsular release and arthroscopic rotator cuff repair. A recently published systematic review demonstrated that arthroscopic capsular release effectively reduces shoulder pain, however, patients with diabetes have more residual pain as compared to patients without diabetes (level IV evidence of comparative case series) [17]. Moreover, a retrospective analysis of the effect of arthroscopic rotator cuff repair showed that patients with diabetes had worse post-operative shoulder pain and an earlier recovery plateau than patients without diabetes [18]. The inferior outcomes observed in patients with diabetes may be linked to impaired rotator cuff healing [19].